Thực trạng rối loạn giấc ngủ ở người bệnh điều trị methadone khu vực Hà Nội

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Tác giả: Văn San Bùi, Minh Tâm Dương, Thành Long Nguyễn, Văn Tuấn Nguyễn

Ngôn ngữ: Vie

Ký hiệu phân loại:

Thông tin xuất bản: Sinh lý học Việt Nam 2022

Mô tả vật lý: 52-57

Bộ sưu tập: Metadata

ID: 410571

Thêm vào giỏ Liên kết toàn văn

Methadone là phương pháp điều trị cai nghiện Opioid phổ biến ở Việt Nam giúp giảm các bệnh lây nhiễm, cải thiện sức khỏe cho bệnh nhân. Tuy nhiên việc sử dụng chất kích thích có thể trực tiếp gây ra rối loạn giấc ngủ và mặt khác, các vấn đề về giấc ngủ là một trong những yếu tố nguy cơ tái nghiện sử dụng chất. Mục tiêu: Đánh giá thực trạng rối loạn giấc ngủ ở bệnh nhân điều trị Methadone. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang thực hiện trên 630 bệnh nhân điều trị methadone tại 3 cơ sở nội thành Hà Nội trong khoảng thời gian từ tháng 10/2020-12-2020, sử dụng thang điểm ISI đánh giá mức độ nghiêm trọng của rối loạn giấc ngủ. Kết quả: Tuổi trung bình của đối tượng nghiên cứu là 43,16, 99% là nam giới, trung bình đã tham điều trị Methadone 3,5 năm với liều trung bình là 79,13mg. Có 17,2% bệnh nhân có rối loạn giấc ngủ trong đó chủ yếu là khó duy trì giấc ngủ chiếm tỷ lệ cao nhất, sau đó đến khó vào giấc và thức dậy sớm. 13,2% bệnh nhân không hài lòng với chất lượng giấc ngủ. Kết luận: Rối loạn giấc ngủ là một vấn đề thường gặp ở bệnh nhân điều trị duy trì Methadone, làm giảm chất lượng cuộc sống ở nhóm bệnh nhân này, do vậy cần có sự quan tâm đúng mức đến vấn đề này., Tóm tắt tiếng anh, Methadone is a popular treatment for opioid addiction in Vietnam to reduce infectious diseases and improve patients' health. However, using stimulant can directly cause sleep disturbances. On the other hand, sleep problem is one of the risk factors for relapse into substance abuse. Objectives: To assess the status of sleep disorders in patients treated with Methadone. Subjects and research methods: A cross-sectional descriptive study performed on 630 methadone patients at 3 facilities in Hanoi during the period from October 2020 to December 2020, using the ISI scale to assess the severity of the sleep disturbance. Results: The average age of the study subjects was 43.16 years old, 99% were men, on average attended Methadone treatment for 3.5 years with an average dose of 79.13mg. There are 17.2% of patients with sleep disorders in which it is mainly difficult to maintain sleep, accounting for the highest percentage, followed by difficulty falling asleep and waking up early. 13.2% of patients were not satisfied with the quality of their sleep. Conclusion: Sleep disturbance is a common problem in methadone maintenance patients, reducing the quality of life in this group of patients, so we had better take properly attention to this issue.

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